Kansas Blue Cross Blue Shield ASK
Please follow the Enrollment Instructions below to become an electronic submitter to Kansas Blue Cross Blue Shield ASK.
Required Documents for those applying for new Submitter ID's
The following documents are required enrollment documents that must be completed, signed and returned to the ASK office prior to initiation of electronic claims submission or inquiry.
1. Enrollment Form (Claims)
2. ERA Enrollment (Electronic Remittance)
If you are an existing Submitter, but need to change your information please complete the following:
1. Change Form
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Our Vendor Information
|Vendor Name - AXIOM Systems, Inc.|
|Contact - EDI Team|
|Vendor Code - N/A|
|Phone - 602-439-2525|
|Fax - 602-439-0808|
|Address - 241 East 4th Street, Suite 200|
Frederick, MD 21701
|Software Name - SolAce EMC|
|E-mail - Support@SolAce-emc.com|
EDI Enrollment Form
Section 1: Trading Partner Information
- Enter your Business/Practice or Provider Name
- Enter your address, phone and fax numbers
- Enter the name of the main contact person for your office
- Enter your e-mail address
Section 2: Type of Organization
- Please select the appropriate Organization type of your business, indicate whether you are a clearinghouse or billing service. Leave blank if description does not apply.
Section 3: Vendor Information
- Please enter the Software Vendor information provided above for AXIOM Systems, Inc.
Section 4: Communication Type
- Please choose "Internet"
Section 5: Billing NPI's and Provider Names
- Please place a check mark on the box for "Professional" or "Institutional" claims.
- Complete the table with your Billing NPI's and Name
Section 5B: Select Payer
- Choose the carrier you will be sending claims to
Section 6: Signature
- Sign and Date the form
ERA Enrollment Form, Application for 835
If you would like to receive your EOB's electronically in SolAce, please complete this form. Please complete after you have received your Trading Partner ID
- Enter your Provider Name
- Complete your Business Demographic Information
- Enter your TIN or EIN and your NPI
- Enter your Trading Partner ID (also called Submitter ID)
- Complete your Contact Information
- Enter your TIN and NPI (must match what's listed above)
- Enter the Software Vendor's information for AXIOM Systems, Inc.
- Select your reason for submission (either New or Change Enrollment)
- Complete the signature section and Submit
Complete this form if you need to chage your demographic information, enroll additional NPI Numbers, or change software vendor information
- Complete Section 1 with your information
- Select what you are changing in Section 2 and if they ask for further information on the next screen please enter it accordingly
Submitting your Forms
It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the enrollment forms reflecting original signatures to:
PO Box 3500
Topeka KS 66601-3500
Or Fax: 785-290-0720
Or Email firstname.lastname@example.org
It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.
Waiting for a Response
Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately five to seven business days from the date of receipt. (Remember that mailing time can take much longer, therefore fax or email is preferred.)
After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the ASK EDI Technology Support Center at 1-800-472-6481.
Once you have received your Submitter ID and Password from ASK, please call to SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to ASK.
Please have 25 claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment, but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.
From our customers
I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.
SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.
I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.
SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.
Easy to use, Customer support has always been excellent, Thanks SolAce Team.
I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.
Awesome customer service every time!
I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!
The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.
The follow-up is outstanding - whenever there is an issue I am contacted to be sure that all is working well and to my satisfaction.
Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.
Tech was very helpful, very patient and very professional. She knew of the issue quickly and stayed at hand until issue was resolved. Very satisifed with the service.